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HomeMy WebLinkAbout022-1035-40-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 589796 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.1 5.04 (1)(m)] 2567067 Permit Holder's Name: City Village Township Parcel Tax No: John Phillips TOWN OF KINNICKINNIC 022-1035-40-000 CST BM Elev: Insp. BM Elev: i BM Description: Section/Town/Range/Map No: 6 /0 1 13.28.18.196 TANK INFORMATION ELEVATION DATA 7,6 /d} 1S /<f)o TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. /60 ! Septic 1 T✓~ d00 Benchmark e -5c r 16j. 160 . k= 11.w Dosing , Alt. B C~ loo s . -6 (0 ; t,I 3,6 IS, 7 q Bldg. Sewer yZ 3 3 ~o to Li- SZS Holding St/Ht Inlet $ z y'3•ss \ TANK SETBACK INFORMATION St/Ht Outlet e TANK TO I~/L WELL BLDG. ent t Air Intake ROAD Dt Inlet Septic > 15b Dt Bottom 33 eras qa : ~ Dosing 156 e /t 33 Header/Man. i r > 4,5 Aeration Dist. Pipe 4.7 q Holding Bot. System 96.3 15 .1j Final Grade 40, PUMP/SIPHON INFORMATION ' . 7 437. !5 Manufacturer f Demand St Cover-I / 66 v 3 6 '7$ -7 t7 P o4 GPM Model Number &604-5 - 'mac c) ~5 TDH Lift FrictionOLoss System Held TD~ / ~Ft J 1.0 1 t~ . 55 Z Forcemain rl~th ! Dia. o! Dist. to Well _z SOIL ABSORPTION YSTEM 7. t5 (P BED/TRENCH Width Length No. Tre es PIT DIMENSIONS No. Of Pits Inside Dia`_ Liquid Depth DIMENSIONS 75 ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type stem: UNIT Model Number: no ✓ DISTRIBUTION SYSTEM Header/Manifol Distribution x Hole Size ' x Hole Spacing Vent Air In 73 Dia Spacing tJ Z6 Length Dia _ Length SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded ulched Bed/Trench Center / g Bed/Trench Edges Topsoil No _ Yes No es ' 1117-11 4 #2: (Include code discrepencies, persons present, etc.) Inspection #1: 0 1 Spec, n ~ Location: 1482 CTY RD, J la %.i 1.) Alt BM Description = r~5 ~~YGS plavJ 2.) Bldg sewer length O✓`, - amount of cover Plan revision Required? Yes No Use other side for additional information. III I~ I~ Date Insepctor's Si ature Cert. No. SBD-6710 (R.3/97) I S~Y~,~ -~vt(o - 08~ ~r g~•~ County lC~~~ Safety and BuiZ's D&B n St. Croix S _ 201 W. Washington P. 16 Sanitary Permit Number (to be filled in by Co.) Madison, A Ps AUG 2416 NEVV6ZZ4JQZWE 7? (.4o rPNtlMit Application State Transaction Number ,orvlMUlvl In accordance with SPS 38321(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit 2,967067 is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary / 4 C^ purposes in accordance with the Privacy Law, s. 15.04(1)(m), Slats. L Application Informat - Please Print All Information Property Owner's Name Parcel # D~~d John Phillip PS 022-103540-@M- Property Owner's Mailing Address Property Location , l3. 109 South Dallas Govt. Lot Ci State 7'p Phone Number y, y<, Section diver Falls Wt. S r= -~3-- (circle one) T N; R E or W II. Type of Building (check all that apply) Lot # -28 DO or 2 Family Dwelling - Number of Bedrooms 3 Subdivision Name Vk && I Block It El Public/Commercial -Describe Use ~ ❑ City of El StateOwzd - Describe Iese CSM Number 16 ❑ Village of (Q / 7 5 0 ✓n f D 70 Town of Kinnickinnic III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 202VI X, A. rr~ 1~ New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ansfer to New List Previous Permit Number and Date Issued ❑ Permit Tr Before Expiration Owner / IV. Type of POWTS S stem/Com onent/Device: (Check all that apply) ~(tzr A09 ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade 1 r Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain)- X ❑ Pretreatment .vice (explain)- i V. Dis ersal/Tr tment Area Informatio 01 ((ss~ DispT&bkrea Pr sed1sf) Sy~tg~FJevation , DDg6n Flow ( ) Des' moil Applica On R I pdst) Disge~s I Area ARequ' 4 4 VI. Tank Info Capacity in 44 UUTotal It of Manufacturer /jJ` f L~j Gallons Gallons Units a U c2 Polt~lok 525 15 New Tanks Existing Tanks ( '0 - a = ~ a C. U cn w C7 C% Septic or Holding Tank 1000 1000 Wieser X Dosing Chamber 600 600 Weser Combo x VII. Responsibility Statement- I, the undersigned, assume responsibility for in allation of the OWTS shown on the attached plans. Plumber's Name (Print) Plumb, gnatur :,648443 P/MPRS Number Business Phone Number Keith Knudtson 651 A70-1737 Plumber's Address (Street, City, State, Zip Code) 927 150th St. Roberts Wi. 54023 VIII. Coun"epartment Use Only Permit Fee Date I ued Issuing t Signature Approved Disapprove $ ~ +D ✓ iven Reason for De _u( S V IX. Condi easons for Disapproval 1. Septlotank, effluent filter snit ,31 t~ Jd- disperrai cell must all be sP~cPs t nio,ir J o~ L4 1. 4.1 as,per management plan provided by plumber, Q t* +1~ 6 7. 14 s Mbi 41's~. ents must be Mail-At ined as per apps code / erdinallm. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (R. 11/11) 2~3 330 ft. P/L Page 8 of 8 Sanitary Site Plan For: Orlande E-Phillips Family Trust (John) E 1/2 of the E 1/2 of the SE1/4-SEl/4 Sec. 13 T28N-R18W Town of Kinnickinnic- St. Croix County 0 25 5o Graphic scale (Feet) L inch = So M Proposed 10 Acre Parcel Shared Drive Family Property P1L i 1320 ft. Site is an open grass sidehill Proposed Grarage 99.00' 96.00' 93.00' Proposed Proposed Top of WELL Proposed Sch. 40 16% 90.00' Basement Wall =106.80' PVC Bldg, Sewer f ~ Proposed Threee o Bedroom Home Proposed ` I P2 704.34'0 Proposed Look-out / partial walk-out basement o I! ABM 1 16% ~2 160 Proposed 6'x 75'MoundDispersal Cell +I Proposed Wieser Concrete WLP10001600 w/a System Elev. of 97.25' Combination Tank w!a Poly-Lok PL525 Filter Field Edge Planted Corn Note: Mainain well and waterline setbacks per SPS 383.43 (8)(1) Note: Insulate Building sewer per SPS 382.30(11)(c) and provide frost protection per SPS 383.73(8)(4)c Proposed Drive to County Rd J Approx. 900 ft. i Elevation Data Set Combo Tank on Approx. 97.50' Contour A BM = Top of 11/4" iron Pipe Set near proposed lot line. * HRP = Same ASSUMED ELEV. = 1.00.00' -ic coi- J %~'V'N DIVISION OF INDUSTRY SERVICES j~ o~ 3824 N CREEKSIDE LA HOLMEN WI 54636 iY Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov A~ F ~sroh~L w~j Scott Walker, Governor Dave Ross, Secretary July 10, 2015 CUST ID No. 648443 ATTN: POWT.S Inspector ZONING OFFICE KEITH E KNUDTSON ST CROIX COUNTY SPIA 927 150TH ST 1101 CARMICHAEL RD ROBERTS WI 54023 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/10/2017 SITE: Identification Numbers John Phillips Transaction ID No. 2567067 County Rd J Site ID No. 814405 Town of Kinnickinnic Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. OZ4, S13, T28N, RI 8W FOR: Description: Three Bedroom Mound System / 16% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1543843 Maintenance required; 450 GPD Flow rate; 21 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code CONDIT requirements. APP No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, DEPT OF S stats. PROFESSION The following conditions shall be met during construction or installation and prior to occupancy or use: OF AND Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must he provided per SPS 384 product approval conditions. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. L KEITH E KNUDTSON Page 2 7/10/2015 Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the PO WTS. Sincerely, Fee Required S 250.00 This Amount Will Be Invoiced. Gerard M Swim When You Receive That Invoice, POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jerry.swim@wisconsin.gov WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484 , Monday- Friday 8:00 am To 4:30 pm KEITH E KNUDTSON Page 2 7/10/2015 Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. Gerard M Swan When You Receive That Invoice, POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jerry.swiin@wisconsin.gov WISNIART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484 , Monday - Friday 8:00 am To 4:30 pm r i~ 2 2015 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: John Phillips Site (East Site) Owner's Name: Orlande E. Phillips Family Trust Owner's Address: 109 S. Dallas River Falls WI 54022 Na Legal Description: E1/2-E1/2-SE1/4-SE1/4 Sec. 13 T28N-R18W Township: Kinnickinnic County: St. Croix Subdivision Name: CSM in the process 'oNALLY DVED Lot Number: Na Block Number: Na ~FETY AND Parcel I.D. Number: 022-1035-40-000 'k L SERVICES ~ ,rR Y SL'1:Vi CES Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Designer: Keith Knudtson License Number MPRS648443 Date: z ne Number. 651-470-1737 Signature: 4e-e~9 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N, 01101), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of - 36 inches. 450.00 Design Flow (gpd) 16.00 Site Slope 96.00 Contour Line Elevation (ft) 21.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution C Y~ Pressure Disribution Information network? Enter Y or N (C or E) E Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 2.33 Estimated Orifice Spacing (ft) = 7.03 ft2/orifice 2.00 Forcemain Diameter (in) _ 28.00 Forcemain Length (ft) Does the forcemain drain back? Y 92.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 4.57 Forcemain Drainback (gal) 5.00 Vertical Lift (ft) 67.41 5x Void Volume (gal) 0.70 Friction Loss (ft) 71.98 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 34.46 System Demand (gpm) 10.25 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 _ 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x Gallons_linch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 603.36 Dose Tank Capacity (gal) PolyLok Filter Manufacturer _ 7611 Dose Tank Volume (gal/in) PL-525 __Filter Model Number Weiser Concrete Manufacturer Project: John Phillips Site (East Site) Page 2 of 8 Mound Plan and Cross Section Views T Observation Pipe K - T A W I. I..'.'.'. . B . . . . . . . . . . . . . . . . . . L Mound Component Dimensions A 6.00 ft E 26.52 in H 1ft K 10.57 ft B 75.00 ft F 9.50 in 1: ft L 96.13 ft D 15.00 in G 0.50ft J ft W 31.35 ft 450.00 (ft2) Dispersal Cell Area 1965.14 (ft) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.04 (ft) H (j F Dispersal Cell 97.75 (ft) Lateral 97.25 (ft)-► - Invert Dispersal Cell :[3:::;; Elevation D 1 } a 96.00 (ft) Contour Elevation 16.0 % Site Slope Geotextile Fabric Cover Shading Key a Dispersal Cell See lateral details on C] r rr r Topsoil Cap 0 1.5 ft Page p4 for number, acing of laterals. Subsoil Cap (fin ASTM C33 Sand 16 Laterals are equally ©o Tilled Layer m 0 5 ft Typical Lateral F spaced from the m distribution cell's Aggregate o centerline in the * A ! } distribution cell (AxB). Project: John Phillips Site (East Site) Page 3 of 8 End Connection Lateral Layout Diagram Lateraft centered over the A& B dimension • g Turn-upwtball valve or olaanoutplug P rc:e entical X Holes drilled on the bottom of the lateral S equa g spaced nnection via tee or ctoss to manifold at antl point. Laiterals orcemain Sch 40 PVC per SPS Table384.30-6 Number of Laterals 2 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.37 ft Lateral Length (P) 73.47 ft Orifices per Lateral 32 Lateral Spacing (S) 3.00 ft Orifice Density 7.03 ft /orifice Lateral Flow Rate 17.23 gpm Manifold Length 3.00 ft System Flow Rate 34.46 gpm Manifold Diameter 1.50 in Total Dynamic Head 10.25 ft Forcemain Velocity 3.52 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented Alternate outlet location Forcemain diameter Weiser Concrete Manufacturer 2 in. Ca aci 603.36 Gallons Volume 16.76 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 20.71 347.02 C B 2.00 33.52 P♦ ump off elevation (ft) C 4.29 71.98 92.75 D 9.00 150.84 D 36.00 603.36 Total Do♦ se tank elevation (ft) 3" Bedding un er tank. 92.00 Alarm Manuafacturer SJE. Rhombus _ Note: Switches Alarm Model Number Tank Alert 1 containing mercury _ may not be used in Pump Manufacturer Goulds~vT_ this system. Pump Model Number 3871 E004 w Pump Must Deliver 34.46 gpm at 10.25 ft TDH Project: John Phillips Site (East Site) Page 4 of 8 I Mound System Maintenance and Operation Specifications Service Provider's Name Powers Sanitation Phone 715-246-5738 POWTS Regulator's Name St. Croix County Landuse Dept. Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Ins e__ct for,pondi and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: John Phillips Site (East Site) Page 5 of 8 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01181), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01101)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be seated watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the fitter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 8 Page 7 of 8 NGOULDS PUMPS Submersible Effluent Pump EP04 3871 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING ° Homes Available for automatic and superior strength and corrosion • Farms manual operation. Auto- resistance. Canadian StwAar& Aswaanon • Heavy duty sump matic models include • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in "C or "F".) factory. strength, and durability. SPECIFICATIONS ■ Motor Cover. Thermoplastic GouidsPunpsisISO9001 PagisUnd. FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. '/4" maximum. ■ EP04 Impeller: Thermoplas Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi-open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1V2" NPT. seal protection. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104`F (4QcC) continuous METERS FEET 140°F (6090) intermittent 10- • Fasteners: 300 series stainless steel. y 30 l ]1.PM • Capable of running dry without damage to a 2 s components. 25 Motor: x • EP04 Single phase: 0.4 HP, " 6 20 115 or 230 V, 60 Hz, 1550 ~d RPM, built in overload with o s is automatic reset. a a EPOS • EP05 Single phase: 0.5 HP, o ' 115 V or 230V, 60 Hz, 1550 3 0 RPM, built in overload with EP04 automatic card:10 foot 2- Power standard length, 1613 1 S1TOW with three prong o o grounding plug. Optional 20 0 10 20 30 40 50 GPM foot length, 16/3 SJTW with three prong grounding plug o 2 a s a i o z rn3lt, (standard on EP05). CAPACITY Goulds Pumps ® 2001 Goulds Pumps ITT Industries Effective May, 2001 63871 330 ft. PIL Page 8 of 8 Sanitary Site Plan For: Orlande E-Phillips Family Trust (John) E 1/2 of the E 1/2 of the SE1/4-SE1/4 Sec. 13 T28N-R18W Town of Kinnickinnic- St. Croix County 0' 25 50 Graphic soots (Feet) 1. inch - SO M Proposed 10 Acre Parcel fi E inch Shared Drive Family Property i P2 4 1320J1. Site is an open grass sidehill. Proposed Grara%e 99.00 96.00' 93.00' Proposed Proposed Top of • WELL Proposed Sch. 40 /16% 90.00' Basement Wald = 106.80 PVC Bldg. Sewer ~ l Proposed Threee a I Bedroom Home Proposed / P2 104.34'0 1 Proposed Look-out / partial walk-out basement / a $M 1 16% 160 / Proposed Wieser Concrete WLP10001600 Proposed 6'x 75' Mound Dispersal Cell I Combination Tank w/a Poly Lok PL525 Filter w/a System Elev. of 97.25' Field Edge Planted Corn Note: Mainain well and waterline setbacks per SPS 383.43 (8)(i) I F1 Note: Insulate Building sewer per SPS 382.30(11)(c) and provide frost protection per SPS 383.73(8)(4)c Proposed Drive to County Rd. J Approx. 900 ft. Elevation Data Set Combo Tank on Approx. 97.50' Contour BM = Top of 1 1/4" iron Pipe Set near proposed lot line. * HRP = Same ASSUMED ELEV. = 100.00' ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer John PhillippS Mailing Address 109 S. Dallas River Falls Wi. Property Address qot Lp f'. ' (Verification required from 1'lannin "toning Department for new construction.) City/State Parcel Identification Number LEGAL DESCRIPTION JE /4 ,Sec. { 3 , T /_8 N R 1 W, Town of Kenn{Cklnn{C Property Location SE '/4 ' Subdivision Plat: , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # (before 2007)Volume , Page # Spec house ❑yesElto Lot lines identifiable QycsFjno SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisco{tsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all stateme/arranty form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue deed recorded in Register of Deeds Office. Number of bedrooms 3 S1GNATVJkE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. 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Code Keith Stoner CST County Attach complete of l~q,9~Lipt less than 8Y2 x 11 inches in size. Plan must St. Croix include, but na01 m ~iiH34 icy Yhorizontal reference point (BM), direction and percent 0QMIWldM5 RMEI`4d/ow, and location and distance to nearest road. Parcel (1: 02 03 0-000 ,n,~! Please print all information. Rev' ed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). +J Property Owner Property Location A Orlande E-Family Trust Phillipps Govt. Lot E %z- C / L SE1/ SE1/4, S13, T28N, R18W Property Owner's Mailing Address Lot # Block # Subd. Na a or CSM# 109 S Dallas City State Zip Code Phone Number City Village j Town Nearest Road River Falls WI 54022 Kinnickinnic County Rd J New Construction Use: [ Residential / Number of bedrooms 3 Code derived design flow rate 450 _GPD Replacement Public or commercial - Describe: Parent material Sandy Residium from Weathered Sandstone Flood plain elevation, if applicable NA ft. General comments ""Proposed 10 acre parcel. Propose a 6 x 75' mound cell located along the 96.00' contour with a system elevation= 97.25'. Upslope and recommendations: mound contour staked onsite. ZoA- e-< ❑ Boring # Boring / Pit Ground surface elev. 92.70 ft. Depth to limiting factor 21 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 7.5YR3/2 - Ifs lfgr mvfr cs 3f-co 0.5 1.0 2 9-15 7.5YR4/4 - sl 2msbk mvfr gs 3f-co 0.6 1.0 3 15-21 7.5YR5/4 - Ifs Osg ml gs 2f-m 0.5 1.0 4 21-52 10YR8/2 c2d5YR5/8 SI lmsbk mvfr - if-m 0.4 0.7 5 52-60 10YR8/2 - wb - - - - - - #4 - bands of Is 7.5YR4/4 *#5 - Sandstone bedrock residium *Soil very moist at 21" F-I Boring 2 Boring # Pit Ground surface elev. - 97.25 ft. Depth to limiting factor 32 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 7.5YR3/2 - Ifs ifgr mvfr CS 3f-co 0.5 1.0 2 10-20 7.5YR4/3 - Ifs Osg ml gs 3f-co 0.5 1.0 3 20-28 7.5YR5/4 - fS Osg ml gs 2f-m 0.5 1.0 4 28-32 10YR8/1 - Is Osg ml gs if-m 0.7 1.6 5 32-51 10YR8/1 f2d5YR5/8 SI/Is lmsbk/Osg mvfr - 1f-m 0.4 0.7 6 51-60 10YR8/2 - wb - - - - - - #5 - bands of Is 7.5YR4/4 approximately every 6" *#6 - Sandstone bedrock residium * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = 130D.<.30 mg/L and TSS S30 mg/L CST Name (Please Print) Signature: CST Number Keith Stoner 224059 Address Keith Stoner CST Date Evaluation Conducted Telephone Number 23220 Wood Creek Rd Siren, WI 54872 5/15/2015 715-566-2128 SBD-8330 (807/13) Property Owner Orlande E-Family Trust Phillipps Parcel ID # 022-1035-40-000 Page 2 of 3 ~ Boring 3 Boring # Pit Ground surface elev. 92.85 ft. Depth to limiting factor 34 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#1 'Eff#2 1 0-7 7.5YR3/2 - Ifs lfsbk mvfr cs 3f-co 0.5 1.0 2 7-15 7.5YR3/4 - Ifs Osg mvfr gs 3f-co 0.5 1.0 3 15-34 7.5YR4/4 - Ifs Osg ml gs 2f-m 0.5 1.0 4 34-47 10YR8/1 f2d5YR5/8 s Osg ml - if-m 0.7 1.6 5 47-65 10YR8/1 - wb - - - - - - #4 - bands of Is 7.5YR4/4 *#5 - Sandstone bedrock residium Boring F-1 Boring # F-1 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 I `Eff#2 Boring Boring # L1 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G_PD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ' Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 <150 mg/L " Effluent #2 = BOD5 < 30 mg/L and TSS <30 mg/L 330 ft. P/L Page of 3 Soil Test Site Plan For:Orlande E-Family Trust Phillips E 1/2 of the E 1/2 of the SE1/4-SE1/4 Sec. 13 T28N-R18W Town of Kinnickinnic- St. Croix County 0 25 50 Graphic Scale n (Feet) Proposed 10 Acre Parcel Shared Drive Family Property P/L i 1320 ft. Site is an open grass sidehill. Proposed Grarage 99.00' Proposed Top of 96.00' 93.00' Basement Wall = 106.80' 116% 90.00' Proposed Threee / Bedroom Home Proposed P/L 104.34'0 / Proposed Look-out partial walk-out basement - BM 16% O / Proposed Dose Tank Field Edge Planted Corn Note: Mainain well and waterline setbacks per SPS 383.43 (8)(1) Elevation Data B#1 = 92.70' B#2 = 97.25' B#3 = 92.85' Proposed Drive to County Rd. J Approx. 900 ft. A BM = Top of 1 1/4 Iron Pipe Set near proposed lot line. * HRP =Same ASSUMED ELEV. = 100.00' = Backhoe Pit May 20th, 2015 Keith E. St ner CST# 224059 l CERTIFIED SURVEY MAP Located in the Southeast Quarter of the Northeast Quarter of Section 13, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. JOINT DRIVEWAY EASEMENT DETAIL x F Vehicle access to Lots 1 and 2 from 0 o C.T.H. J must be through the joint LOT 2 NOO'03"45"W driveway easement All existing access 82.00" a points from C.T.H. J must be removed. z I~ N8945'07"W 171.91, 1 / -1 W NOT TO i SCALE 3"~ og 000 / V~~ LOT 1 i J~W_3 6- _ - _ - - - _ - _ _NLY R-Ow .7-H- J 31.35P. O. B. EAST - WEST 1/4 LINE - N893433'W 171.01'- EAST 1/4 CORNER P- tam- $£C. 13, T28N, R18W 8+2031 _ - - _ _ _ _ PK NAIL e NEW RICHMOND SLY R.O.W. C.T.H. 01 GENERAL9F48QI* _LRte STATEME_ NT Each parcel shown on this map is subject to state, county and township laws, rules and regulation (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoninq Office and the Town of Kinnickinnic. This map contains areas that are subject to the Shoreland Overlay Zoning District and Floodplain Overlay Zoning District. Additional restrictions apply. Contact the Community Development Department for further information. COUNTY TREASURER'S CERTIFICATE Laurie Noble, being the duly elected, qualified and acting treasurer of the County of St. Croix, do hereby certify that the records in my office show no unredeemed tax sales and no unpaid taxes or special assessments as of _ mny_,apl_ a01(n included in this Certified Survey Map. / affectinq the/lands Laurie Noble (Treasurer) Dote ST. CR IX4PCO'9944 OMMUNITY DEVELOPMENT DEPARTMENT MAY 2 6 2016 M ST. CROIX COUNTY / ► G4 2 ~l d D1 - PIANNING 8-ZflNING~FFIe>c - -L Date + Wind Rose Land Surveyors PROJECT NO_: 2014-37 yj1 + P.O. BOX 11 DRAFTED BY. J VOGEL NEW RICHMOND, WI 54017 DATE. MARCH 30, 2016 fY"' 715-441-7320 SHEET 3 OF 3 St. Croix County 1029670 Paqe 3 of 3 Wisconsin Department of Safety and Professional Services r~ e C Division of Industry Services RECEIVED SOIL EVALUATION REPORT #3007 Page 1 of 3 t , in accordance with SPS 385, Wis. Adm. Code Keith Stoner CST u County Attach complete site pI_an on paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not Iimit~CfTtoC 431151 QQtAblkYntal reference point (BM), direction and parcel I.D. percent slope, sehiMLft$*gL9Vi Ip d location and distance to nearest road. 022-1035-40-009-- Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Orlande E-Family Trust Phillipps Govt. Lot SE1/4, 86/4, S13, T28N, R18W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 109 S Dallas City State Zip Code Phone Number l City f -'I Village E Town Nearest Road / River Falls WI 540221 1 Kinnickinnic County Rd J New Construction Use: [7, Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Fj Public or commercial - Describe: - Parent material Sandy Residium from Weathered Sandstone Flood plain elevation, if applicable NA ft. General comments -Proposed 10 acre parcel. Propose a 6 x 75' mound cell located along the 96.00' contour with a system elevation= 97.25'. Upslope and recommendations: mound contour staked onsite. [I s Boring # ❑ Boring - Fil G Pit Ground surface elev. 92.70 ft. Depth to limiting factor 21 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 7.5YR3/2 - Ifs lfgr mvfr cs 3f-co 0,5 1.0 2 9-15 7.5YR4/4 - sl 2msbk mvfr gs 3f-co 0.6 1.0 3 15-21 7.5YR5/4 - Ifs Osg ml gs 2f-m 0.5 1.0 4 21-52 10YR8/2 c2d5YR5/8 sl lmsbk mvfr - 1f-m 0.4 0.7 5 52-60 10YR8/2 - vvb - - - - - - *4 - banks of Ls 75YRV4 **5 - Sandvstme bedrock n?s;rdrm *Sod vary moist at 21' Boring # N J Boring N, Pit Ground surface elev. 97.25 ft. Depth to limiting factor 32 in. Soil Application Rate FHorizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 0-10 7.5YR3/2 Ifs lfgr mvfr cs 3f-co 0.5 1.0 10-20 7.5YR4/3 - Ifs Osg ml gs 3f-co 0.5 1.0 3 20-28 7.5YR5/4 - fs Osg ml gs 2f-m 0.5 1.0 4 28-32 10YR8/1 - Is Osg ml gs 1f-m 0.7 1.6 5 32-51 10YR8/1 f2d5YR5/8 sl/Is imsbk/Osg mvfr - if-m 0.4 0.7 6 51-60 10YR8/2 - vvb - - - - #5 - bands of Is 7.5YR4/4 approximately every 6" *#6 - Sandstone bedrock residium * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L *E uent#2 = BOD5 <30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: J CST Number Keith Stoner 224059 Address Keith Stoner CST Dale Evaluation Conducted Telephone Number 23220 Wood Creek Rd Siren, WI 54872 5/15/2015 715-566-0900 SBD-8330 (807/13) Property Owner Odande E-Family Trust Phillipps Parcel ID # 022-1035-40-000 Page 2 of 3 U Boring F3 Boring # Pit Ground surface elev. 92.85 ft. Depth to limiting factor 34 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0-7 7.5YR3/2 - Ifs lfsbk mvfr cs 3f-co 0.5 1.0 2 7-15 7.5YR3/4 - Ifs Osg mvfr gs 3f-co 0.5 1.0 3 15-34 7.5YR4/4 - Ifs Osg ml gs 2f-m 0.5 1.0 4 34-47 10YR8/1 f2d5YR5/8 s Osg ml - 1f-m 0.7 1.6 5 47-65 1OYR8/1 - wb - - - - - - #4 - bands of Is 7.5YR4/4 *#5 - Sandstone bedrock residium Boring F4 Boring # Pit Ground surface elev. 90.80 ft. Depth to limiting factor 40 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 *Eff#2 1 0-8 7.5YR3/2 - Ifs lfsbk mvfr cs 3f-co 0.5 1.0 2 8-16 7.5YR3/4 - sil 2msbk mvfr gs 3f-co 0.6 0.8 3 16-34 7.5YR4/4 - SO 2msbk mvfr gs 2f-m 0.6 0.8 4 34-40 10YR5/4 Ifs Osg ml gs if-m 0.5 1.0 5 40-48 1OYR6/3 c2d 5YR5/8 Ifs Osg ml - - 0.5 1.0 #4 - bands of Is 7.5YR4/4 *#5 - Inclusions of Sandstone bedrock residium Boring Date 10/30/17 tar IQtt~~ ❑ Boring F-1 Boring # 1 pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 <_150 mgA- * Effluent #2 = BOD5 30 mg/t. and TSS <30 mg/- 330 ft PIL Page 3 of 3 Revised Soil Test Site Plan For: Orlande E-Family Trust Phillips E 1/2 of the E 1/2 of the SE1/4-SE1/4 Sec. 13 T28N-R18W Town of Kinnickinnic- St. Croix County 0 25 50 Graphic Seek (Feet) 1 inch = 50 tt. Proposed 10 Acre Parcel Shared Drive Family Property P/L 1320 ft Site is an open grass sidehill. Revised Mound Proposed Grarage 99.00' 94.00 Contour Proposed Top of 96.00' 93.00' Basement Wall =106.80' 116% 90.00' Proposed Threee / Bedroom Home I I Proposed / AT 104.34'0 I Proposed Look-out / partial walk-out basement 16% O e / Proposed Dose Tank 16/o I BM Replaced BM I I Field Edge Planted Corn Note: Mainain well and waterline setbacks per SPS 383.43 (8)(1) I I Elevation Data B#1 = 92.70' B#2 = 97.25' I B#3 = 92.85' Proposed Drive to County Rd. J B#4 - 90.80 I I A BM = Nail w/a Pink ribbon in Cherry Tree Approx. 900ft. HRP = Same ASSUMED ELEV. = 100.00' = Backhoe Pit October 30th, 2017 Keith E. Stoner CST# 224059